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Approach to Improving Safety
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NEWSPAPER/MAGAZINE ARTICLE
Safety still compromised by computer weaknesses.
ISMP Medication Safety Alert! Acute Care Edition. August 25, 2005;10:1-3.
STUDYclassic
A computer alert system to prevent injury from adverse drug events: development and evaluation in a community teaching hospital.
Raschke RA, Gollihare B, Wunderlich TA, et al. [published correction appears in JAMA. 1999;281:420]. JAMA. 1998;280:1317-1320.
NEWSPAPER/MAGAZINE ARTICLE
"Plug and Play" hospitals: medical devices that exchange data could make hospitals safer.
Grifantini K. Technol Rev. July 9, 2008.    
NEWSPAPER/MAGAZINE ARTICLE
Reducing alarm hazards: selection and implementation of alarm notification systems.
Gee T, Moorman BA. Patient Saf Qual Healthc. March/April 2011;8:14-17.
STUDY
Predictive combinations of monitor alarms preceding in-hospital code blue events.
Hu X, Sapo M, Nenov V, et al. J Biomed Inform. 2012;45:913-921.
NEWSPAPER/MAGAZINE ARTICLE
The enterprise take on patient safety.
Rogoski RR. Health Manage Technol. August 2005;26:12,14,16,18.
STUDY
Improving alarm performance in the medical intensive care unit using delays and clinical context.
Görges M, Markewitz BA, Westenskow DR. Anesth Analg. 2009;108:1546-1552. 
COMMENTARY
Smart pumps: advanced capabilities and continuous quality improvement.
Vanderveen T. Patient Saf Quality Healthc. January/February 2007.
NEWSPAPER/MAGAZINE ARTICLE
One group of doctors changes its ways.
Hallinan JT. Post-Gazette.com. June 21, 2005.
STUDY
Clinical alarms: improving efficiency and effectiveness.
Phillips J, Barnsteiner JH. Crit Care Nurs Q. 2005;28:317-323.
REVIEW
A review of current and emerging approaches to address failure-to-rescue.
Taenzer AH, Pyke JB, McGrath SP. Anesthesiology. 2011;115:421-431.
NEWSPAPER/MAGAZINE ARTICLE
Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis.
PA-PSRS Patient Saf Advis. March 2008;5(suppl rev):1-50. 
SPECIAL OR THEME ISSUE
Patient Safety.
Bagian JP, ed. Hum Factors Ergon Manuf Serv Ind. 2012;22:1-95.
NEWSPAPER/MAGAZINE ARTICLE
Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit.
ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.
COMMENTARY
Clinical alarms: complexity and common sense.
Phillips J. Crit Care Nurs Clin North Am. 2006;18:145-156.
NEWSPAPER/MAGAZINE ARTICLE
Latest heparin fatality speaks loudly—what have you done to stop the bleeding?
ISMP Medication Safety Alert! April 8, 2010;15:1-3.
NEWSPAPER/MAGAZINE ARTICLE
Wrist tag 'offers drug warning.'
BBC News. August 9, 2005.
COMMENTARY
The Role of Bar Coding and Smart Pumps in Safety
Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN AHRQ WebM&M [serial online]. September 2008.
PRESS RELEASE/ANNOUNCEMENT
Risk of electromagnetic interference with medical telemetry systems operating in the 460-470 MHz frequency bands.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 16, 2005.
NEWSPAPER/MAGAZINE ARTICLE
'Alarm fatigue’ a factor in 2nd death.
Kowalczyk L. Boston Globe. September 21, 2011.
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